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NPI Code Detail

MEDICARE: SHELDON GURA

MEDICARE: SHELDON GURA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302022873MI

General Provider Information

NPI Number : 1821213737
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELDON GURA
Provider Business Mailing Address
First Line : 20113 SUNNYSIDE ST
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 CONNER ST
Second Line :
City : DETROIT
State : MI
Zip : 48215-2201
Country : US
Telephone Number : 313-823-9897
Fax Number : 313-823-9884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ SHELDON GURA ” Practice Location

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